Source Job

US

  • Lead the development and management of a geographic medical network for our health plan.
  • Negotiate, review, and amend contracts with physicians, physician groups, facilities, and ancillary medical providers.
  • Monitor and report network adequacy and quality, ensuring compliance with regulatory requirements.

Negotiation Contract Management Analytics Salesforce

20 jobs similar to Network Relations Specialist

Jobs ranked by similarity.

US

  • Independently review, redline, and negotiate complex commercial agreements, including customer, reseller, vendor, and subcontractor contracts.
  • Serve as the primary point of contact on contractual matters and develop solutions to complex problems.
  • Work with sales and professional services teams to move deals forward and fulfill client obligations.

GuidePoint Security provides trusted cybersecurity expertise, solutions and services that help organizations make better decisions and minimize risk. Since its inception in 2011, GuidePoint has grown to over 1,200 employees and serves as a trusted advisor to more than 6,200 customers.

US

  • Draft and negotiate various commercial contracts including MSAs, SOWs, and SaaS agreements without supervision.
  • Coordinate with sales and client success teams to negotiate contracts and manage the contract repository.
  • Monitor contract compliance, conduct audits, and assist with legal projects as needed.

Adswerve is an award-winning data, media and tech consultancy and a leading Google and Adobe partner. Our team of 250+ employees is spread across 26 states and six countries, fostering a team-oriented culture where everyone contributes.

US

  • Facilitate client calls related to contracting and payer enrollments.
  • Run and analyze client KPIs, providing regular reports.
  • Manage the full contracting and payer enrollment process.

Experity transforms on-demand healthcare across the U.S. by empowering urgent care clinics with industry-leading software. The company fosters a team-first culture with opportunities for flexible work and career development.

Hungary Poland Romania Serbia UK

  • Review, draft, and negotiate clinical trial agreements and budgets across European sites.
  • Serve as a subject matter expert and mentor to staff on contract management processes.
  • Coordinate with study teams and sponsors to ensure contract execution aligns with study timelines.

Precision for Medicine is a life sciences company that provides clinical research services. They are an established organization with a focus on supporting clinical trials and employ a global team with a culture of collaboration and professionalism.

US 4w PTO

  • Coordinate end-to-end provider credentialing and re-credentialing processes with commercial and government payers.
  • Support payer contracting activities, including data collection, application submission, and follow-up.
  • Maintain accurate provider credentialing files in accordance with regulatory and accreditation standards.

Sunrise Group builds the future of sleep health by combining breakthrough technology with expert care. Backed by more than $50M, their team of 100+ clinicians, engineers, and operators across the US and Europe is dedicated to making high-quality sleep care accessible to everyone.

US

  • Facilitate negotiations of site agreements and budgets to align with site activation plans.
  • Customize and prepare country- and site-specific agreements, organizing translations.
  • Track the status of site agreement and budget negotiation, prepare executable versions, and coordinate the signature process.

PSI is a global company founded in 1995 that brings new medicines to those who need them, working on the front line of medical science. They bring together more than 3,000 driven, dedicated, and passionate individuals who care for staff, clients, partners, and quality of work.

US

  • Drive scaling and adoption of virtual services within Privia's network and externally.
  • Conduct market analysis to identify targets and support sales enablement.
  • Serve as central contact for new providers and execute marketing campaigns.

Privia Health is a technology-driven national physician enablement company that collaborates with medical groups and health systems to optimize practices and improve patient experiences. The company is led by top talent and physician leadership, with scalable operations and cloud-based technology.

US

  • Develop and close new health plan contracts to drive sustainable revenue growth.
  • Bring deep understanding of the health plan market and a proven track record in complex B2B sales.
  • Position AnswersNow as the preferred ABA partner for health plans through value-based care expertise.

AnswersNow is a fully remote company that provides virtual ABA therapy for autism, designed by clinicians. They are a growing team reshaping autism therapy with a focus on accessibility and effectiveness.

US

  • Lead and manage negotiation of healthcare vendor contracts, including MSAs and SOWs.
  • Provide strategic compliance advice on market access, Medicaid, and Medicare pricing.
  • Act as legal advisor to marketing and regulatory teams to ensure advertising compliance.

Axiom is a global alternative legal services provider delivering on-demand legal talent, secondments, and AI-enabled legal services to in-house legal departments. Serving over 1,500 legal departments globally with a commitment to excellence, the company boasts a Talent NPS score of +71% and a Client NPS score of +64%, well above the industry average.

US

  • Draft, review, and manage routine commercial agreements including NDAs, vendor agreements, and amendments.
  • Administer the contract lifecycle management system (Ironclad) and serve as primary contact for internal stakeholders.
  • Track contract obligations, renewals, and key milestones to ensure compliance and timely follow-up.

Headlands Research is a leading network of advanced clinical trial sites dedicated to enhancing clinical trial delivery within communities. Founded in 2018, the rapidly growing company currently operates over 20 sites across the US and Canada.

US

  • Coordinate operational activities for commercial and government accounts, including pricing updates and workflow tracking.
  • Develop training materials, maintain processes, and ensure data accuracy in Salesforce CRM.
  • Collaborate cross-functionally with Sales, Legal, HR, and Operations to support contract requirements and customer execution.

FUJIFILM Healthcare Americas Corporation provides cutting-edge healthcare solutions spanning diagnostic imaging, enterprise imaging, endoscopic and surgical imaging, and in-vitro diagnostics, as well as Non-Destructive Testing for infrastructure, aerospace, and oil and gas. Fujifilm is globally headquartered in Tokyo with over 70,000 employees and is guided by the purpose of giving our world more smiles.

US

  • Monitor and interpret CMS guidance for Medicare, Medicaid, and other healthcare programs.
  • Partner with internal teams to ensure compliance with regulations and contract obligations.
  • Maintain regulatory tracking documentation and support development of training materials.

HealthEdge provides healthcare software and services to payers and providers. It is a growing company with a focus on compliance and innovation, fostering a collaborative and remote-friendly culture.

US

  • Leads the full end-to-end sales cycle for US Payer and Clinical Reasoning accounts, from lead generation to deal closure and account management.
  • Develops sales strategies, generates leads through networking and cold calling, and builds sustainable client relationships to identify growth opportunities.
  • Collaborates with cross-functional teams, conducts contract negotiations, and maintains in-depth product knowledge to exceed sales quotas.

Smile Digital Health provides a leading FHIR-based data liberation platform that enables healthcare stakeholders to collect and exchange structured data. The company is ranked #19 on Deloitte's Technology Fast 50 for 2024 and operates in over 20 countries, fostering a culture of respect, inclusion, and belonging.

US

  • Serve as the main point of contact for providers, resolving escalated issues and maintaining positive relationships.
  • Manage internal projects to improve provider experience, including education on best practices and policies.
  • Use data analysis and tools like Excel and Salesforce to investigate issues and reduce provider abrasion.

Clover Health provides high-quality, affordable healthcare plans for America's seniors by leveraging data and technology through the Clover Assistant. The company is a mission-driven, remote-first organization with a focus on diversity and inclusion, employing a team of passionate professionals.

United States

  • Review assigned TEFCA directory entries against authoritative corroboration sources and apply the approved review methodology.
  • Research, validate, and reconcile healthcare directory data across multiple reference sources, documenting findings in Jira.
  • Classify entries using a four-tier disposition taxonomy and escalate exception-path entries to the Lead Analyst.

Broadway Ventures is an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB) that provides expert program management, technology, and consulting solutions to government and private sector clients. As a small business, they emphasize integrity, collaboration, and excellence in their tailored solutions.

US

  • Direct AR and analytics teams to improve revenue cycle financial performance across multi-entity environments.
  • Bridge data-driven insights with operational support, partnering with RCM, Finance, HIM, IT, and executive leadership.
  • Manage daily billing/collection activities, mentor staff, and implement strategies to reduce AR and increase cash collections.

Ovation Healthcare strengthens independent community healthcare by providing support, guidance, and tech-enabled shared services. Partnering with 375+ hospitals across 47 states for over 45 years, the company fosters a collegial atmosphere of professionalism and teamwork.

USA

  • Architect and execute the strategic roadmap for provider data management, credentialing, and network adequacy, acting as the enterprise authority on data integrity.
  • Lead a high-performing remote team, establishing rigorous metrics for third-party vendors and integrating AI/LLMs to automate and optimize provider data processes.
  • Oversee the accuracy and compliance of the Provider Directory, partner with the Chief Medical Officer on credentialing, and drive cross-functional collaboration across Clinical, Claims, and Product teams.

Clover Health is redefining health insurance by leveraging data and technology to deliver personalized, high-quality care for Medicare Advantage members, aiming to make healthcare easier and more accessible. As a mission-driven company with a remote-first culture, they prioritize diversity and inclusion, fostering a team of passionate individuals focused on improving lives through innovation.

US

  • Facilitate end-to-end contracting and submission operations during peak period, supporting 100+ new and renewal contracts.
  • Upload and manage legal contracts in Ironclad, conduct audits, and coordinate provider roster submissions.
  • Track milestones, surface risks, and ensure accurate deal terms across systems.

Pearl Health empowers primary care providers to succeed in value-based care through technology, financial tools, and expert services. Founded in 2020, the company is backed by top investors and partners with thousands of providers across 44 states.

Canada

  • Serve as the primary point of contact for physicians, clinics, and healthcare stakeholders, ensuring consistent communication and trusted relationships.
  • Support healthcare providers in navigating patient assistance programs, including enrollment, reimbursement, and therapy access processes.
  • Manage and complete all required documentation such as special authorizations, prescription renewals, and enrollment forms with accuracy and timeliness.

Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They use technology to ensure fair and efficient recruitment processes, and foster inclusive employee programs.

US

  • Identify business opportunities by researching and analyzing prospects to evaluate their position in the industry.
  • Develop and maintain relationships with clients by providing support, information, and recommending new opportunities.
  • Collaborate with the Product team on market opportunities and maintain professional knowledge through workshops and networks.

For more than 20 years, Quest Analytics has been improving provider network management with groundbreaking innovations. 90% of America's health plans use our tools, including the eight largest in the nation, and we foster an entrepreneurial culture where contributions are rewarded.